September 2017 Surgery Group

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  • Joyseeker
    Joyseeker Member Posts: 312
    edited September 2017

    TMI question. Does the dye they use to find your nodes color your stool? Shocking (but welcome, no constipstion) visit to the bathroom this morning đŸ˜³

  • raven4mi
    raven4mi Member Posts: 562
    edited September 2017

    dogmomerica, sorry you're here, but welcome to the forums. You've come to a good place to find ways to be prepared. Good luck going forward.

  • Joyseeker
    Joyseeker Member Posts: 312
    edited September 2017

    DazzlingEagle how's the recovery?? We are on the same timeline....

  • Tri-lady7
    Tri-lady7 Member Posts: 133
    edited September 2017

    Hi Everyone- I had my lumpectomy on 9/11 where my MO did the dye for locating the sentinel node. I did have a MRI before surgery and the tumor ended up being smaller then shown in the MRI. I met with my MO to go over the pathology report and he told me they took out 2 nodes and both were positive. My question is does that mean there could be more positive nodes? The MO said that they don't do an axillery node dissection because it is the same prognosis if you do chemo and radiation. It just concerns me that this is worse then what I expected. Just wondering if anyone is or has been in same situation. Thank you!

  • MamaFelice
    MamaFelice Member Posts: 216
    edited September 2017

    Hi ladies!

    Had my BMX without recon on 9/5. Had 3 drains placed. Two on my right side where nodes came out and one on my left. At one-week follow up one of the two drains came out, leaving me with one on each side.

    Over the next several days, the left drain slowed down to almost nothing-- still getting output but only about 10 units a day. The one on my right side slowed down to 30 units for two days, but then jumped up to around 50 units for the next 3 days after that-- today may even be 60 units! Tuesday will be 3 weeks, and I am ready for these to be out....but I lam thankful that they do their job so well and I can tell the swelling at my sides has gone down Immensely.

    How long does a drain on the mastectomy side with nodes usually last? Saw you all were talking about how output can go down and then back up again. Are there any secrets? Better to keep resting at this point or start moving more? Any tips appreciated!

    My chemo is staring in 2 weeks....I also want to make sure I am giving my drain wounds enough time to heal. Any secrets to healing those areas?

    As for post BMX dressing-- I LOVE wearing long camis that don't have the bra band. I wear my drains in a hip holster that I bought on Etsy and love, and the cami over it makes me feel like everything is nice and secure. The cami is soft and is slightly fitted so I have been able to slide in my "Knitted Knockers" that I also LOVE!! If you are not familiar, It is a non-profit org that knits super soft breast forms for women going through mastectomy surgery. I ordered B cup and still took out a third of the filling before achieving desired size. Love, love, love them!

    Otherwise, I wear a loose shirt or dress over the cami and ready to go! Looking forward to drains coming out and seeing how my clothes will look post surgery. I did clean out my drawer of beautiful bras yesterday. Couldn't bring myself to do it before surgery for some reason but now I know that "underwire" and I will no longer be having a relationship--yay!!

    Looking forward to reading more about your experiences with all of this-- thank you all so much for sharing!!

  • Castigame
    Castigame Member Posts: 752
    edited September 2017

    Mamafelice,  

    wish you speedy recovery.  and be ready for the chemo and the entire battle.    I am done w all three, BMX wo recon, 8DD chemos and 30 rads,   it was brutal but I feel victorious after all done. 

    drains,, I hated bc they cramped my style. They made me feel like I had a third leg.   drainage amount increase could be that you are moving a little bit more than the day before. That was  what my BS nurse told me. And it worked.   Maybe moving little less could make a difference toward less amount.   if anything looks odd at the time of drainage removal, you will be told what to do. I had BMX w multiple nodes removal and BS removed them in 3 wks. 

    Be gentle with yourself. 


     

  • IntegraGirl
    IntegraGirl Member Posts: 147
    edited September 2017

    MamaFelice, I also had 3 drains and they came out after 10 days. My surgeon told me to take it easy between the Friday that he saw me and the Monday when I hoped to have the drains out. I stayed fairly quiet over that weekend and was able to get them out on the Monday. No problems since.

  • Nurseinboots
    Nurseinboots Member Posts: 19
    edited September 2017

    Hey everyone... I had a left UMX with a DIEP flap on 9/18. It really wasn't that bad. Hoping everyone is doing well

  • DazzlingEagle
    DazzlingEagle Member Posts: 112
    edited September 2017

    My surgery was finally done and after one night in the hospital, I'm home. I wasn't expecting this but the surgeon took out all my lymph nodes and says he thinks he got all the cancer out. I thought he was only taking out the lymph nodes that were contained in the tumor area. The plastic surgeon couldn't perform a venous bypass because of how badly the cancer damaged the axilla area. I'm very very upset about the outcome. The surgeon told me I should not be crying, that I should be happy because it went well. He is very good surgery-wise, but him saying that to me at that time made me never want to see him again. And after the drains come out, I have no intention of ever going back to him.

    None of the incision sites hurt but I have a very bad pain in my arm and a more painful spot in the back of my arm which makes moving difficult, plus the shoulder and upper back. They must have practically dislocated my shoulder and arm in the operating room during the axcilla surgery . Have one drain which of course is bothersome.

  • DodgersGirl
    DodgersGirl Member Posts: 2,382
    edited September 2017

    dazzlingeagle- glad to hear from you.

    I am so sorry the PS could not perform the venous bypass and sorry you are having shoulder pain.

    Glad to hear your surgeon believes he got all the cancer.

    Take it easy, rest, and work on that drain.

    Sending you a hug and hoping the pain is very temporary.


  • Castigame
    Castigame Member Posts: 752
    edited September 2017

    Dazzlingeagle.

    I am praying for you. Try to be gentle,

    Mimi

  • Joyseeker
    Joyseeker Member Posts: 312
    edited September 2017

    DazlingEagle. You are strong. You and brave. You can do this. Be gentle with yourself. đŸ’œSara

  • MamaFelice
    MamaFelice Member Posts: 216
    edited September 2017

    Thank you Rebamacfan123 & Integragirl for your feedback!

    It is after I started moving more that the lymph node drain becan to produce more, but I moved quite a bit yesterday and it tapered off... back down to 28 total for the day. Hopefully this is the new trend. But the spot where the drains enter my body on that sideaches -- is this normal?

    I am trying to prepare myself for the fight ahead....not my first rodeo with chemo.... 24-years ago with Hodgkin's lymphoma. Chemo to me is definitely the toughest part, but I am strong, positive and surrounded by faith and love. And to have all the women here that relate and can answer questions and empathize is such a gift!

    DazzlingEagle-- sorry you are not thrilled with your surgery results. I too have so much pain on my "bad breast"/ lymph node side compared to my other. A ton of numbness from torn nerves I suppose. Please find joy in all your cancer being gone. I too will certainly pray for your healing.

    Nurseinboots-- So happy that your UMX surgery went well! Keep up the good spirits and heal well!

    Thank you all again!

  • raven4mi
    raven4mi Member Posts: 562
    edited September 2017

    MamaFelice, I wish there was something magic I could tell you about drain output but unfortunately there isn't. I personally never found any correlation between movement/activity and drain output. I had my drains after my initial BMX last year for seven weeks. Yes, you read that correctly - 7. I had the damn things so long that I named them Flotsam and Jetsam. And when I had my right TE reinserted post-infection in March this year I had a drain for four weeks and then they only pulled it because I lied about the output. HUGE mistake. DO NOT DO THIS, no matter how sorely tempted. The fluid kept accumulating, which is already an infection risk as it sits there, so they kept having to needle aspirate me every 3-4 days which is just another avenue for possible infection. Believe me, anyone who has followed me on prior surgery boards knows that I am a BIG WHINY BABY when it comes to the drains but just suck it up as best you can and don't have them removed until they say it's OK. I learned that lesson the very hard way. Now, I have heard that there are some plastic surgeons who will remove the drains after x number of weeks regardless of output by my PS isn't one of them.

    DazzlingEagle, I'm so sorry about the outcome of your surgery! Your surgeon is a complete ass. I can't even tell you how pissed off it makes me when they tell me how I "should" feel. EFF YOU and the horse you road in on, buddy. How about we cut off your balls and then tell you how "happy" you should be! I'm sending you gentle hugs.

    Nurseinboots, glad you're surgery went well. Good luck on the recovery road!

    As for me, I'm extremely unhappy with the results of my exchange surgery. I still look like I have two foobs from two completely different women - not at all symmetrical. My only goal for this final exchange was to look good in clothes and I didn't even get that. I'm so disappointed. BUT.........I'm not giving up. If my radiated right side would just "drop" a little it would be a huge improvement and I have a plan for maybe making that happen. I see PS for post op appointment tomorrow so I'll post another update after that.

  • Patsfan12
    Patsfan12 Member Posts: 6
    edited September 2017

    Hi all,

    I'm new here, but am having a bilateral mastectomy with immediate reconstruction this Thursday and am really nervous about what to expect...especially in terms of level of discomfort afterwards. I finished up my first go around with chemo a few weeks ago (THP) and still have 4 cycles of AC waiting for me after surgery, but for the moment, I'm just hoping I won't be too much of a baby with the pain!! Also, any advice you guys could offer about the procedure where they inject the dye would be great, that piece makes me kind of nervous too. Thanks in advance for any feedback you can offer!!

  • raven4mi
    raven4mi Member Posts: 562
    edited September 2017

    Patsfan12, so sorry you're here with us but I'm glad you found the thread.

    I had my original BMX in April, 2016 and, for me, the pain was completely manageable. I only took Norco for the first couple of days after surgery then switched to Tylenol. The only real pain I had was at the incision sites as well as with the drains which were mostly uncomfortable and not really painful. The limitations on range of motion were more cumbersome than the pain.

    As for the dye injection, I personally didn't think it was that bad though I have read other posts that said it was very painful. They gave me ice and some pain cream and it was just a pinch of discomfort for me.

    I wish you the best of luck with your procedure. Be sure to post afterwards to let us know how things go.

  • Joyseeker
    Joyseeker Member Posts: 312
    edited September 2017

    They radiologist froze my breast with topical cream and lidocaine for the dye. It wasn't my favorite thing in the world but it wasn't awful.

    Recovery has been fairly uneventful - other than emotionally. I'm hoping that gets better with time.

  • Lizo_biker
    Lizo_biker Member Posts: 10
    edited September 2017

    greetings! I had a DMX with reconstruction a little more than 2 weeks ago; recovery is going fairly well,except for a horrible feeling of binding or restriction in my chest-which I assume is the tissue expanders. Does this feeling get better, or is this the new norm? Is this normal? It's so annoying-it feels like I have the most hideously uncomfortable bra on!! Thx

  • Patsfan12
    Patsfan12 Member Posts: 6
    edited September 2017

    Thanks, that's helpful to know, I'll definitely come back to post :)

  • raven4mi
    raven4mi Member Posts: 562
    edited September 2017

    Lizo_biker, sorry about all the discomfort. My implants are over the chest wall muscle so I've never experienced that restricting feeling. I believe it's pretty common though with implants done under the muscle and from what I've read the final implants are more comfortable. Hopefully someone else will be able to chime in with more information.

    Good luck to ElleElleBee and Pauline23 who are scheduled for surgery tomorrow!

  • raven4mi
    raven4mi Member Posts: 562
    edited September 2017

    I have a notebook that I have been using for the last 1-1/2 years throughout this reconstruction process to record various things, including drain output. Since the subject came up on here I thought I'd go back and look at my prior logs and the most output I had in one 24 hour period was 128 ccs! Next highest was 110. Current drains are at around 15-20 per day so hopeful they'll come out today.

    Just thought it was interesting to look back.

  • DazzlingEagle
    DazzlingEagle Member Posts: 112
    edited September 2017

    Hello everyone. Doing much better pain-wise. Mamafelice: The drain is mostly uncomfortable instead of painful. Yes, the spot where the drain is inserted hurts/aches. I think that's normal. Do you have any small pieces of flesh coming through the drain? I do and it's pretty gross.

    The pain in the back of my upper arm and shoulder is still there but it's getting better. I don't know how it can be numb and painful at the same time, but it is. I am still taking one oxy before bed just so I don't wake up in pain. Have no appetite. Joyseeker: I'm still trying to deal with the emotions too. Are you seeing any therapist or taking any meds for emotions?

    I had the blue dye for my surgery and I must have already been under anesthesia when it was injected because I don't remember it at all. I am still peeing a little blue so it stays in your body a few days.

  • DodgersGirl
    DodgersGirl Member Posts: 2,382
    edited September 2017

    dazzlingeagle- I had that blue dye part done while I was "under", too. That is how my BS does it.

    I did have small pieces of flesh along with blood in my drain.

    I have an appointment today with BS to remove my drain (hopefully). Drainage amounts have been around 14 each day over the weekend. Wondering is physical therapy will be mentioned yet

    Do you know if you will have radiation treatments after healing from surgery? I am waiting to hear from my RO.

  • EastcoastTS
    EastcoastTS Member Posts: 864
    edited September 2017

    Patsfan:

    Okay, it depends upon how your facility does the procedure...but I had nuclear injections two days or so before surgery to locate the sentinel nodes. Instead of (I think) blue dye just before surgery. Recommended on this site was to have the doctor prescribe Emla cream (numbing cream), slather over breast, then cover with Saran Wrap. I kid you not. I went to the appt with that under my clothing (no mess, no fuss, it sticks). The nurse told me they could always do Emla but you have to go early and ask before the appt. That, again, depends upon the facility.

    I felt nothing. Easy, peasy.

    Search nuclear and blue dye injections on this site. Tons of advice and feedback.

  • EastcoastTS
    EastcoastTS Member Posts: 864
    edited September 2017

    Lizo Biker:

    You have the TE "iron bra" feeling right now -- it sounds like to me. My recollection is that I would feel like I needed to adjust an uncomfortable wire bra, but I was not wearing a bra. I even reached to do it a few times.

    Good news is, this feeling DID go away. Perhaps when I started getting fills. The deal for me was: fills helped with some pains (TE rubbing a nerve or something) but caused their own discomfort for a day or two.

    Good luck. The TEs and discomfort got a lot better with healing. The first 6-8 weeks were harder.

  • DazzlingEagle
    DazzlingEagle Member Posts: 112
    edited September 2017

    Hi dodgers girl.

    Every doctor has told me I'm having radiation but I have never told any doctor I have agreed to having radiation.

    I want to have it but I don't understand if I need to do it right away or can I have plastic surgery first? I am at a very high risk for lymphedema and the radiation will increase that risk. I have an appointment in two weeks with the radiologist doctor and I'll see what he says. The plastic surgeon put in one of his visit summaries that he won't do plastic surgery unless I defer radiation for several weeks. I don't really understand the timeline of what happens when. The oncologist suspended my Herceptin/perjeta and is switching me to a new oral medication neratinib instead. The meds have a significant side effect of grade 3 diarrhea so I wanted to see if I can tolerate the meds. I don't know where plastic surgery fits into all this.

    I thought everything would start resolving after the chemo and surgery and now it seems like I have so much treatment left.

    How are your nails doing? Mine are almost normal with hardly any pain. I still baby them.

  • Joyseeker
    Joyseeker Member Posts: 312
    edited September 2017

    DazzlingEagle - there is a wonderful social worker at our cancer centre. I saw him once and he assured me that my "acute depression" was completely normal. I started taking a low dose antianxiety med when I started chasing this diagnosis in July. I think it helps marginally although I have daily meltdowns. This morning when my husband was helping me shower I just broke down and sobbed. I have Ativan for sleeping. Honestly, I miss my old self. The physical healing isn't hard. It's the emotions that are challenging. Being stuck in a chair with a broken ankle really isn't helping. Would love to get out for a walk and feel the sun....

  • Dark13
    Dark13 Member Posts: 65
    edited September 2017

    Hi ladies

    I am new here and will be having a mastectomy left breast on 9/28. I really just want to get it over with. I am hoping that like some of you I heal really quick and I don't have much pain. I am being pressured to tell my friends but I don't want to and now i'm feeling guilty because their feelings may be hurt by not telling them... I am really concerned about mobility afterwards...I am even feeling like i am not up to having visitors. Have any of you felt this way? My thoughts are all over the place but surprisingly I am not feeling scared.

    I just can't seem to discuss this with persons who have not had to deal with this situation.

    Thanks so much for posting your journey it has helped me immensely.

  • DodgersGirl
    DodgersGirl Member Posts: 2,382
    edited September 2017

    dark13- welcome to this discussion thread. Hope your surgery is effective and without pain.

    Are you doing reconstruction?

    Have you had chemo? Or will your dx not require chemo?

  • DazzlingEagle
    DazzlingEagle Member Posts: 112
    edited September 2017

    Dark13: Don't tell anybody if you don't want to. If you don't want visitors, then no visitors. No explanation is needed either. But I think you would like visitors afterwards. Just don't feel like you have to act a certain way with them or force yourself to be cheerful. There might be things that happen on surgery day you want to talk about.

    Thursday will be here before you know it. Are you staying overnight in the hospital? Your mobility will be okay. You just have to take it slow. You have to lay down and get out of bed kind of rolling instead of just popping up like you're used to. I think the hospital will help you get up and out of bed. When I had my surgery, I had to tell them I wanted to get up and brush my teeth, wash my face, but I think they would have let me lay the whole time otherwise. I had an awful catheter so I didn't have to get up and go to the bathroom. That was honestly the worst part about the surgery. There wasn't hardly any pain at the actual surgery sites. The acute pain was in the back of my surgery side arm when I started getting up and walking around.

    The transportation aide insisted I give my glasses to my sister but I had already talked with the nurse and they knew I would be wearing my glasses into the O.R. They even marked my glass case with my label earlier in the day. He was really a jerk about it and I almost gave in but I can't see anything without my glasses and I wanted to see the O.R. before they put me under. So don't let anyone boss you around in the hospital. If you feel like you need something, make sure you or whoever is with you gets it for you.

    If you feel nauseous when you are in recovery, make sure to tell them. I did and they gave me Zofran plus a patch stuck to my neck behind my ear that was long-lasting, like three days. And if you are really hungry when you are in recover, they can get you something to eat or if you can't eat yet, they can get you ice chips.

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